Application Zone District Change or Amendment

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Applicant

Date:

Owner

Agent

Name :	Phone:
Address:	City:
State:	Zip Code:

Is Mailing Address different form above:

YesNo

Address:	City:
State:	Zip Code:

Property Subject to Application

Address:	City:
State:	Zip Code:

Practical Property Description:

Legal Description:

Attach additional Information:

Acreage or Square Feet of Parcel:

Existing Zoning:

Surrounding Zoning

North:	West:
South:	East:

Requested revised zoning or zone text language (identify specific section of the regulations with the language to be changed):

Present Use of Subject Property:

Uses Surrounding Subject Parcel

North:

South:

West:

East:

Page 2

Are Property Owners Different form Applicant?

YesNo

Property owner(s)

Owner 1

Name :	Phone:
Address:	City:
State:	Zip Code:

Owner 2

Name :	Phone:
Address:	City:
State:	Zip Code:

Owner 3

Name :	Phone:
Address:	City:
State:	Zip Code:

Are there any adjoining and abutting property owners:

YesNo

Adjoining and Abutting property owners

Owner 1

Name :	Phone:
Address:	City:
State:	Zip Code:

Owner 2

Name :	Phone:
Address:	City:
State:	Zip Code:

Owner 3

Name :	Phone:
Address:	City:
State:	Zip Code:

Owner 4

Name :	Phone:
Address:	City:
State:	Zip Code:

Owner 5

Name :	Phone:
Address:	City:
State:	Zip Code:

Owner 6

Name :	Phone:
Address:	City:
State:	Zip Code:

Owner 7

Name :	Phone:
Address:	City:
State:	Zip Code:

Owner 8

Name :	Phone:
Address:	City:
State:	Zip Code:

Owner 9

Name :	Phone:
Address:	City:
State:	Zip Code:

Owner 10

Name :	Phone:
Address:	City:
State:	Zip Code:

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Description of Proposed Zone District Change

Text Amendment or Zone District Boundary Change (use additional sheets as necessary &, include reference(s) to applicable section(s) of the municipal code):

Is this :

Complete Incomplete

Comments:

Application Shall Completely Address each of the Following Items

Justification for district change. Please clearly state the basis upon which the proposed zoning change is made including a justification for the change. Examples for justification may include the following: Rezoning of subject property is in compliance with the recommendations of the comprehensive plan or the property was improperly zoned originally or there has been a substantial change in condition and use on the surrounding properties to justify a change of zoning.

Is this:

Complete Incomplete

Comments

Designation of the Property in the DeBeque Comprehensive Plan. Identify the applicable classifications or descriptions of the property and recommendations for use, density or other requirements specified in the DeBeque Comprehensive Plan:

Is this:

Complete Incomplete

Comments

Terms or conditions of approval applicant may deem necessary or applicable should zone change be approved (may attach additional pages).

Is this:

Complete Incomplete

Comments

All information set forth above is true and accurate to the best of my information, knowledge and belief.

Applicant Signature:	Date:
Applicant Signature (if applicable):	Date:

Application Zone District Change or Amendment

Zone district change or zone Text amendment

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TOWN HALL

ADDRESS

WELCOME